Individual
DR. JOHN D ROCKEFELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0714
Mailing address
901 SW GARFIELD AVE, TOPEKA, KS 66606-1670
(785) 354-9591
(785) 368-0714
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-23943
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067035
MEDICARE PTAN
KS
05
—
100132560B
—
KS
Enumeration date
06/06/2006
Last updated
06/10/2014
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